person
Kimberly Elizabeth Ellison, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1700804804

Kimberly Elizabeth Ellison is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Kimberly Elizabeth Ellison practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Kimberly Elizabeth Ellison is 1700804804 and holds a License No. SP007021B (Pennsylvania).

The current practice location address for Kimberly Elizabeth Ellison is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-7355.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4206
person
Provider Profile Details
NPI Number
1700804804
Provider Name
Kimberly Elizabeth Ellison
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3400 Spruce St, Philadelphia, PA, 19104-4206
Phone Number
215-662-7355
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1310182 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
State
Zip
19104-4206
Phone Number
215-662-7355
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
State
Zip
19104-4206
Phone Number
215-662-7355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP007021B (Pennsylvania)
Definition
Definition to come...
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